Individual
LINDSEY MERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS, AT
Contact information
Practice address
170 ATHLETICS CENTER, STILLWATER, OK 74078-1397
(405) 744-2112
(405) 744-4945
Mailing address
170 ATHLETICS CENTER, STILLWATER, OK 74078-0001
(405) 744-2112
(405) 744-4945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.016001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H415300
MEDICARE PTAN
OH
Enumeration date
08/14/2015
Last updated
10/12/2023
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